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Licensing details for: 109001

Name: PARK, DAVID SUNG MIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

3150 Wilshire Blvd
2514
LOS ANGELES CA 90010-1305
LOS ANGELES county
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Issuance Date

July 26, 2023

Expiration Date

December 31, 2027

Current Date / Time

April 2, 2026
2:35:08 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: Dentists of Studio City, Dental Group of Dentists of Studio City, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20228 Primary Status: Current - Active

Address :
12050 Ventura Blvd, Ste C-101
STUDIO CITY CA 91604

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